Provider Demographics
NPI:1528348950
Name:CARDELLA, JONATHAN ANDREW (MD, FRCS (C))
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ANDREW
Last Name:CARDELLA
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Gender:M
Credentials:MD, FRCS (C)
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Mailing Address - Street 1:85 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7808
Mailing Address - Country:US
Mailing Address - Phone:203-500-3719
Mailing Address - Fax:203-785-7566
Practice Address - Street 1:330 CEDAR ST
Practice Address - Street 2:VASCULAR SURGERY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3218
Practice Address - Country:US
Practice Address - Phone:203-785-2561
Practice Address - Fax:203-785-7556
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2015-07-21
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Provider Licenses
StateLicense IDTaxonomies
CTCSP.00604642086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery